Murrieta, CA · Riverside County

No notary required

Permit Refund Request Form

Permit payors use this form to request a refund from Murrieta’s Building and Safety Department, submitting one request for each permit.

What this form is

This form lets a permit payor request a refund and provides space for project and permit details, refund mailing information, contact information, and the reason for the request. The city requires a completed form to process a request; eligibility depends on the refund policy printed on the back. The form states that refunds are not guaranteed and are issued at the Building Official’s discretion.

Who needs it

A contractor, owner, or permittee seeking a permit refund should complete and sign one request form for each permit.

How to submit it

Email one completed request form per permit to [email protected]. The form states that processing may take 2–3 weeks.

About notarization

This document is signed and dated without a notary; it lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Refund Request Form.

  2. 2

    Complete The Request

    Enter project, permit, refund mailing, and contact information, explain the reason for the request, and sign and date the form.

  3. 3

    Review The Refund Policy

    Read the Permit Application Refund Policy printed on the back; the form lists no required attachments.

  4. 4

    Email The Form

    Email one completed request form per permit to [email protected].

Frequently asked questions

Do I need a notary for the Permit Refund Request Form?
No. The form asks the requestor to sign and date it, but does not require a notary or list a notarized attachment or sworn step.
Who can request a permit refund?
The form says the requestor must be the contractor, owner, or permittee. Refunds are issued only to the original payor and are subject to the policy on the back.
How do I submit the Permit Refund Request Form?
Email the completed form to [email protected]. Submit one request form per permit; the form says processing may take 2–3 weeks.
Does submitting the form guarantee a refund?
No. The form says a refund is not guaranteed and is subject to the refund policy and the Building Official’s discretion.

Need something notarized?

This Permit Refund Request Form doesn’t need a notary — but if you have another Murrieta form that does, a commissioned online notary can help.